Endocrine ATI questions./ Endocrine ATI questions., Exams of Nursing

Download Endocrine ATI questions./ Endocrine ATI questions. and more Exams Nursing in PDF only on Docsity! Endocrine ATI questions A nurse is caring for a client who asks why the provider bases the medication regimen on the HbA1c instead of the log of morning fasting blood glucose results. Which of the following responses should the nurse make? a. hb1Ac measures how well insulin is regulating your blood glucose between meals b. HbA1c indicates how well you have regulated your blood glucose over the past 120 days. c. HbA1c is the first test your provider prescribed to determine that you have diabetes d. HbA1c determines if you need an additional dose of insulin at this time - ✔"HbA1c indicates how well you have regulated your blood glucose over the past 120 days." A nurse is reviewing the laboratory findings for a client who might have hyperthyroidism. The nurse should identify that an elevation in which of the following substances indicates hyperthyroidism? A. triiodothyronine B. plasma-free metanephrine c. urine cortisol d. urine osmolality - ✔A. triiodothyronine A nurse is reviewing the medical record of a client who has syndrome of inappropriate antidiuretic hormone (SIADH) which of the following laboratory findings should the nurse expect? (select all the apply) a. low sodium b. high potassium c. increased urine osmolality d. high urine sodium e. increased urine specific gravity - ✔a. low sodium c. increased urine osmolality d. high urine sodium e. increased urine specific gravity A nurse is caring for a client who has primary adrenal insufficiency and is preparing to undergo an ACTH stimulation test. which of the following findings should the nurse expect after an IV injection of cosyntropin? a. no change in plasma cortisol b. elevated fasting blood glucose c. decrease in sodium d. increase in urinary output - ✔a. no change in plasma cortisol A nurse is collecting data from a client during a water deprivation test. Which of the following manifestations should the nurse identify as a indicating dehydration? a. bradycardia b. orthostatic hypotension c. neck vein distention d. crackles in lungs - ✔b. orthostatic hypotension A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) which of the following findings should the nurse expect? select all that apply a. decrease serum sodium b. decreased urine specific gravity c. decreased serum osmolarity d. polyuria e. increased thirst - ✔a. decreased serum sodium c. decreased serum osmolarity A nurse is caring for a client who has diabetes insipidus. which of the following urinalysis laboratory findings should the nurse anticipate? a. presence of glucose b. decreased specific gravity c. presence of ketones d. presence of red blood cells - ✔b. decreased specific gravity A nurse is reinforcing teaching with a client who has a new diagnosis of diabetes insipidus. Which of the following client statements indicates an understanding of the teaching? a. i can drink up to 2 quarts of fluid a day b. i will need to use insulin to control my blood glucose levels c. i should expect to gain weight during this illness d. muscle weakness is a symptom of diabetes insipidus - ✔d. muscle weakness is a symptom of diabetes insipidus A nurse is caring for client who has acromegaly. Which of the following findings should he nurse expect? a. muscle rigidity b. sunken eyes c. sluggish deep tendon reflexes d. visual disturbances - ✔d. visual disturbances A nurse in a provider's office is reviewing the health record of a client who is undergoing evaluation for graves disease. which of the following laboratory results is an expected finding? a. decreased thyrotropin receptor antibodies TRAb b. decreased thyroid-stimulating hormone TSH c. decreased free thyroxin index t4 d. decreased triiodothyronine t3 - ✔b. decrease thyroid stimulating hormone TSH A nurse is reviewing manifestations of hyperthyroidism with a client which of the following findings should the nurse include? (SATA) a. anorexia following findings indicate that the client might need a decrease in the dosage of the medication? a. hand tremors b. bradycardia c. pallor d. slow speech - ✔a. hand tremors A nurse is caring for a client who has cushing's disease. clients who have cushings disease are at increase risk for which of the following? SATA a. infection b. gastric ulcer c. renal calculi d. bone fracture e. dysphagia - ✔a. infection b. gastric ulcer d. bone fracture At the beginning of a shift a nurse is collecting data on a client who has cushing's disease. Which of the following findings is the nurse's priority? - ✔a. weight gain A nurse is reinforcing discharge teaching with a client who had a transsphenoidal hypophysectomy. which of the following instructions should the nurse include? SATA a. brush teeth after every meal or snack b. avoid bending at the knees c. eat a high-fiber diet d. notify the provider of any sweet tasting drainage e. notify the provider of a diminished sense of smell - ✔c. eat a high fiber diet d. notify the provider of any sweet tasting drainage A nurse is reinforcing teaching with a client who has addison's disease and is taking hydrocortisone. Which of the following instructions should the nurse include? SATA a. take the medication on an empty stomach b. notify the provider of any illness or stress c. report any manifestations of weakness or dizziness d. do not discontinue the medication suddenly e. eat a low sodium diet - ✔b. notify the provider of any illness c. report any manifestations of weakness or dizziness d. do not discontinue the medication suddenly A nurse is planning to reinforce teaching with a client who is being evaluated for addison's disease about the adrenocorticotropic hormone ACTH stimulations test. the nurse should base her instructions to the client on which of the following information - ✔c. ACTH is a hormone produced by the pituitary gland A nurse is preparing to administer a morning dose of insulin aspart to client who has type 1 diabetes mellitus. which of the following actions should the nurse take? a. check blood glucose immediately after breakfast b. administer insulin when breakfast arrives c. hold breakfast for 1 hr after insulin administration d. clarify the prescription because insulin should not be administered at this time - ✔b. administer insulin when breakfast arrives A nurse is assiting with a presentation about nutrition habits that prevent type 2 diabetes mellitus for a group of clients which of the following should the nurse include? SATA a. eat less meat and processed foods b. decrease intake of saturated fats c. increase daily fiber intake d. limit unsaturated fat intake to 15% of daily caloric intake e. include omega- fatty acids in the diet - ✔a. eat less meat and processed foods b. decrease intake of saturated fats c.increase daily fiber intake e. include omega- fatty acids in the diet A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. which of the following information should the nurse include in the teaching? SATA a. remove calluses using over the counter remedies b. apply lotion between toes c. perform nail care after bathing d. trim toenails straight across e. wear closed toe shoes - ✔c. perform nail care after bathing d. trim toenails straight across e. wear closed toe shoes A nurse is reviewing the health record of a client who has hyperglycemic- hyperosmolar state HHS which of the following factors can cause HHS? SATA a. evidence of recent myocardial infarction b. BUN 35 mg/dl c. takes a calcium channel blocker d. age 77 years e. fluid volume excess - ✔a. evidence of recent myocardial infarction b. BUN 35mg/dl c. takes calcium channel blocker d. age 77 years A nurse is collecting data from a client who has diabetic ketoacidosis and ketones in the urine. the nurse should expect which of the following findings? SATA a. weight gain b. fruity odor of breath c. abdominal pain d. kussmaul resp e. metabolic acidosis - ✔b. fruity odor of breath c. abdominal pain d. kussmaul resp e. metabolic acidosis